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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · PhOne: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />DATE/TINE <br />TYPE <br />OCCUPN~Y <br /> <br /> PLUMDZN~ PERNIT <br />: ~6/~6/97 11:16 <br />: Resident. addition/alteration <br />: R-3 <br /> <br />PERHIT ~0 : 97-e1718 <br />STATUS : ISSUED <br />ISSUED : ~6/~6/1997 <br />TO EXPI'RE : 12/D3/1997 <br /> <br />WORK DESC : 15 FIX, & BOILER FOR BU 97-01717 <br />SITE ADDRESS : <br /> 8881 LITTLE RD SE AN <br /> <br />CROSS STREET : SOUTH OUT OF CITY/AUNS ON STAYTON RD SE 8808 BLK <br /> <br />PARCEL NUMBER : 58278-000 PROPERTY LOCATOR: 882W36C 02508 <br /> <br />OWNER NAME : GL. ASS, JOfl & RENEE <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: GL. ASS, JON & RENEE <br />: <br /> 8881 LITTLE RD SE <br /> AUflSVILLE, OR ~ <br /> (MOBILE $ 819-8852) <br />: 503-749-4663 <br /> <br />ZONE: EFU <br /> <br />97325 <br /> <br />PHONE <br /> <br />CITY: MARION COUNTY <br /> <br />CONTRACTOR : GLASS~JON & RENEE OCCB: <br /> PHONE : <br /> <br />PLOMBER : <br />PHONE : LICENSE: <br /> <br /> Hnits Description Fee <br /> 1 PluMbing base fee 20.00 <br /> 16 Fixture alterations 168.88 <br /> t State surcharge 9.88 <br /> 1 Refund .08 <br /> <br /> Assessed fees : 189.88 <br /> AdjustMents : <br /> Total fees : 189.08 <br />PAYEE: GLASS, JON & RENEE Total payments: 189.80 <br /> Balance due : <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES 180 I~YS FROH ISSUE ]H~TE IF WORK HAS <br />NOT COHflEHCED, OR IF CO#STRUCTION CEASES FOR A PERIOD OF 18S DAYS. OR IF WORK <br />FAILS TO HEET ALL RE~IJIREflENTS OF STATE LAWS ANO MARION COUNTY ORDIHANCES. UPON <br />WRITTEN REGUEST, ONE SIX (6) ~GNTH EXTEHSIGN HAY ~ GRN~TED. <br /> <br />SIGNATURE OF APPLICANT: <br />::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: <br />DONALD E WOODLEY, NARION COONTY BUILDING OFFICIAL. / BY PMUNRO~'/ <br /> <br /> <br />